| NPI | 1003620055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEN RASHID Owner 612-461-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-01 |